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General NPI Number Information
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NPI Number | 1740718808
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Entity Type | Organization
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Legal Business Name | UYEN VO, PLLC
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Dates
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Enumeration Date | 06/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 3008 W PARK ROW DR STE A
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City | PANTEGO
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State | TX
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Zip | 76013-2050
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Country | US
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Telephone | 817-277-1301
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Fax |
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Provider Business Mailing Address
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Address Line | 3008 W PARK ROW DR STE A
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City | PANTEGO
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State | TX
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Zip | 76013-2050
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Country | US
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Telephone | 817-277-1301
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Fax |
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Authorized Official
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Title or Position | OWNER/DDS
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Name | NATALIE-UYEN THANH-ANH VO-PHAM
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Credential | DDS
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Telephone | 817-277-1301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 31151
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License Number State | TX
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